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Absorbable versus Non-Absorbable Sutures in Plication Surgery for Penile Curvature: A Comparison of Outcomes
Etan Eigner1,2, Nicola Fazaa3,4, Ameer Nsair3,4
1Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel, e_eigner@technion.ac.il.
Absorbable sutures in Peyronie's disease plication surgery significantly reduce bothersome nodules compared to non-absorbable sutures. This leads to improved patient comfort without affecting surgical success rates for penile curvature.
Area of Science:
- Urology
- Surgical Innovation
- Patient-Reported Outcomes
Background:
- Peyronie's disease is a fibrotic condition causing penile curvature and sexual dysfunction.
- Plication surgery is a standard treatment, but non-absorbable sutures can cause palpable nodules.
Purpose of the Study:
- To compare outcomes of absorbable versus non-absorbable sutures in penile plication surgery.
- Evaluate surgical success and patient-reported bothersome nodularity.
Main Methods:
- Retrospective study of 48 patients undergoing plication surgery (2013-2023).
- Comparison between 29 patients with absorbable sutures and 19 with non-absorbable sutures.
- Long-term follow-up assessing surgical success and nodularity.
Main Results:
- Surgical success rates were similar between groups (approx. 62%).
- Bothersome nodularity was significantly lower with absorbable sutures (6.8% vs 36.8%).
- Non-absorbable sutures were a strong predictor of bothersome nodularity.
Conclusions:
- Absorbable sutures offer improved postoperative comfort by reducing nodularity.
- They provide comparable efficacy to non-absorbable sutures in plication surgery for Peyronie's disease.
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